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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TATYANA FETISOV
NPI 1891626073
Licensed Practical Nurse in Vancouver, WA

Active since May 27, 2026
1601 E 4TH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661(360) 392-8246 Get Directions Write a Review

NPPES record added: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tatyana Fetisov NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TATYANA FETISOV (NPI 1891626073) is an individual licensed practical nurse in Vancouver, Washington, licensed in Washington (LPN.LP.70059680.MSL) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1891626073
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTATYANA FETISOV
Location Address1601 E 4TH PLAIN BLVD BLDG 17Vancouver, WA 98661-3717
Mailing Address4306 Ne 158th PlVancouver, WA 98682-7191
Phone(360) 392-8246
Sole ProprietorNo
Enumeration DateMay 27, 2026
NPPES CertifiedMay 27, 2026
✔ NPI 1891626073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WA · LPN.LP.70059680.MSL
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1601 E 4TH PLAIN BLVD BLDG 17, Vancouver, WA 98661
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KRYSTEN COTE MA
Case Manager/Care Coordinator
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8474
ENA VALJEVAC
Counselor
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
ALICIA MAY JACOBSON LLPN
Licensed Practical Nurse
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
CELINA ZAMORA
Nurse Practitioner (Psychiatric/Mental Health)
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
SHELBY FITZGERALD CDPT
Counselor (Addiction (Substance Use Disorder))
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 514-2608
MS. TANNA SCHMID MSW
Counselor
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
RACHEL ROSE PIERCE-MAIANI
Counselor (Mental Health)
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
ANGELA BALLANTYNE
Counselor (Mental Health)
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tatyana Fetisov's NPI number?

The NPI number for Tatyana Fetisov is 1891626073. It was assigned to this individual provider in the NPPES registry on May 27, 2026.

Where is Tatyana Fetisov located?

Tatyana Fetisov practices at 1601 E 4th Plain Blvd Bldg 17, Vancouver, WA 98661. The listed phone number is (360) 392-8246.

What is Tatyana Fetisov's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tatyana Fetisov was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.